Nakano M, Kurosawa H, Mizuno A, Sakamoto Y
Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo, Japan.
Kyobu Geka. 1993 Dec;46(13):1090-3; discussion 1093.
A technique to approach the mitral valve through a left atrial incision under dissecting the interatrial groove is described. The dissection of the interatrial groove makes the left atrial incision more anterior and medial. Therefore excellent mitral valve exposure was obtained. 40 of 61 mitral valvular procedures during past 1.5-year period were approached through this incision. We could achieve better exposure of the mitral valve than that of conventional atrial incision technique. This technique takes not so long time and rarely carries complications including dysarrhythmia and bleeding.
描述了一种在解剖房间沟的情况下通过左心房切口接近二尖瓣的技术。房间沟的解剖使左心房切口更靠前和靠内侧。因此获得了极佳的二尖瓣暴露。在过去1.5年期间,61例二尖瓣手术中有40例是通过该切口进行的。与传统心房切口技术相比,我们能够更好地暴露二尖瓣。该技术耗时不长,很少出现包括心律失常和出血在内的并发症。